Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $140.60 / $889.20	Facility		$52.11	$140.60	$889.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $28.31 / $28.31	Facility	26	$28.31	$28.31	$28.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $39.84 / $69.33	Professional		$36.08	$39.84	$69.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.61 / $366.70 / $4,217.05	Professional	26	$22.61	$366.70	$4,217.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $17.45 / $28.80	Professional	TC	$11.48	$17.45	$28.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $92.77 / $107.78	Facility		$92.68	$92.77	$107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $128.83 / $190.94	Professional		$78.29	$128.83	$190.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.81 / $69.55 / $107.16	Professional	26	$45.81	$69.55	$107.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.81 / $62.77 / $91.33	Professional	TC	$35.81	$62.77	$91.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $393.31 / $471.23	Facility		$90.77	$393.31	$471.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.70 / $211.05 / $252.86	Facility	26	$48.70	$211.05	$252.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $91.32 / $115.67	Professional		$72.63	$91.32	$115.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $49.26 / $62.39	Professional	26	$39.17	$49.26	$62.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $42.06 / $53.28	Professional	TC	$33.45	$42.06	$53.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $371.05 / $371.05	Facility		$71.47	$371.05	$371.05
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $38.35 / $199.10 / $199.10	Facility	26	$38.35	$199.10	$199.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $71.91 / $102.88	Professional		$71.91	$71.91	$102.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $38.79 / $55.49	Professional	26	$38.79	$38.79	$55.49
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $47.39	Professional	TC	$33.11	$33.11	$47.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $89.57 / $167.98	Facility		$44.94	$89.57	$167.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.74 / $134.74 / $134.74	Facility	26	$134.74	$134.74	$134.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $107.02 / $342.09	Professional		$42.52	$107.02	$342.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.77 / $169.20 / $179.49	Professional	26	$33.77	$169.20	$179.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $41.82 / $250.96	Professional	TC	$16.48	$41.82	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $95.05 / $161.18	Professional		$42.52	$95.05	$161.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.00 / $63.23 / $94.19	Professional	26	$26.00	$63.23	$94.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $37.64 / $60.67	Professional	TC	$16.73	$37.64	$60.67